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Organization

DERMATECH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IBETH BUITRAGO (CEO)
(864) 932-4113
Entity
Organization

Contact information

Practice address
3300 N MAIN ST STE D-339, ANDERSON, SC 29621-4128
(864) 932-4113
Mailing address
3300 N MAIN ST STE D-339, ANDERSON, SC 29621-4128

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
12/06/2018
Last updated
12/06/2018
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